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HomeMy WebLinkAbout302 S College Ave - Affidavits/Owner Authorization - 10/12/2018City of F6rt Collins. Planning, Development & Transportation 281 N. College Ave Fort Collins, CO 80524 Phone 970-416-2740 Fax 224-6134 BUILDING OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL BUILDING PERMIT I, (Print) Nan ae, as owner of record (property address �jcs S. C©�le�e� �'� aw, (t;1\ nMown as (name f DL 1. business) hereby authorize the work listed below to be done on said property. I understand that such work will only be performed contractors licensed by the City of Fort Collins. ❑ I am giving permission for interior work only. The scope of the work shall be limited to: ❑ I am giving permission for exterior work only. The scope of the work shall be limited M I am giving permission for interior and exterior work. The scope of the work shall limited to: Interior - demolish demising wall, cap unused utility stubs, HVAC system, electrical panels. Exterior. HVAC vents only. (Property owner signature) An., r \r,ce ` \ r" P t SS (Properly owner name; please print) The foregoing affidavit was acknowledged before me on the _ !r�� day of oy ���� (month, year) by iYL+-1/VM-� W_&C O for the purpose therein set forth. Witness my hand and official seal. My Commission expires: a ) 0, 1 � Office use only lae� llp,cr Notary Public OFFICIAL SEAL LNOTARY THERINE LANDERHOLM PUBLIC, STATE OF ILLINOIS ommission Expires Feb 9, 2022